Improving Coverage and Access for the Undocumented
There are 332,000 undocumented Californians in the Central Valley. CPAC’s technical assistance for legislators, county public agencies and farmworker organizations is focused on cultivating financially feasible health care coverage expansion, with an emphasis on the Central Valley and Inland Empire counties. Given the potential role of taxation in expanding coverage for the undocumented, CPAC will be sponsoring a 2016 statewide public opinion poll of registered California voters to assess the public awareness of the passage of SB4, which extended access to care for undocumented children, and to assess the voter willingness to support tobacco taxes, taxes on managed care organizations, and/or expansion of community benefit requirements for hospitals and health plans to financially support expanded coverage. CPAC will produce policy reports and conduct legislative and local county agency briefings focused on policy alternatives for expanding health insurance coverage and improving access to care for the undocumented.
Improving Access to Behavioral Health Services and Supports
Behavioral health issues, such as alcohol misuse, tobacco use, substance abuse, depression, and obesity, disproportionally impact California’s low-income Latino communities. These same communities face major shortages of behavioral and mental health professionals to aid with behavioral health improvement. CPAC’s policy and technical assistance priorities focus on expanding access to behavioral health services in California’s low-income Latino communities. Behavioral health workforce expansion policies such as scope of practice and role expansion for nurses, community health workers, and medical assistants are the foci of CPAC’s technical assistance to the legislature and California’s public health systems.
Enabling Innovation in the Medi-Cal Program
California has the largest Medicaid program in the nation, at more than 12.6 million Californians, one-thrid of the state’s population, with a budget of over $86 billion annually. The state’s Medi-Cal expansion is by far the largest in the country with over 3.9 million new enrollees. CPAC’s Medi-Cal policy and research initiatives aim to assist our legislative, executive, state and local agency, and community partners in ensuring adequate provider reimbursement rates and the financial sustainability of the program. We assist policy makers in making informed decisions about policies and strategies that incentivize delivery system change and innovation for the most vulnerable segments of California’s population.
Improving Correctional Health Care and Healthy Re-Integration
California has the largest number of prisoners in its correctional system of any state in the union, over 135,000 individuals, most of them being African-American and Latino men. Spending on correctional healthcare exceeds $2.8 billion per annum or over $1,700 per inmate per month, creating a major financial challenge for the correctional system. Moreover, improving quality of care and inmate health outcomes has been especially challenging for the system. CPAC is working with faculty across the UC system to provide technical assistance and conduct research for the legislature, the executive branch, and local and state agencies in effort to improve California’s correctional health care system.